Controversies in Perioperative Anesthetic Management of the Morbidly Obese: I Am a Surgeon, Why Should I Care?

Ashish C. Sinha, Preet Mohinder Singh

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Over the last four decades, as the rates of obesity have increased, so have the challenges associated with its anesthetic management. In the present review, we discuss perioperative anesthesia management issues that are modifiable by the early involvement of the surgical team. We sum up available evidence or expert opinion on issues like patient positioning, postoperative analgesia, and the effect of continuous positive airway pressure (CPAP) ventilation on surgical anastomosis. We also address established predictors of higher perioperative risk and suggest possible management strategies and concerns of obese patients undergoing same day procedures. Finally, a generalized pharmacological model relevant to altered pharmacokinetics in these patients is presented.

Original languageEnglish
Pages (from-to)879-887
Number of pages9
JournalObesity Surgery
Volume25
Issue number5
DOIs
StatePublished - May 1 2015

Keywords

  • Bariatric anesthesia
  • Obese perioperative controversies
  • Positioning in obese
  • Preoperative OSA evaluation

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